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Nursing Homes Graded A–F, State by State

All 14,690 Medicare-certified nursing homes in the USA graded from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against peers in the same state and size band. Grades are computed, never edited, and every input is shown.

CMS data as of Aug 2026 · 14,610 graded

Highest graded in the country

Highest graded

ABriarcliffe ManorA

Johnston, RI · score 96See grade

AWynscape Health & RehabA

Wheaton, IL · score 95See grade

ATrinity Woods, Inc.A

Tulsa, OK · score 94See grade

Choose a state

Alaska20 facilities · 0 graded A

Alabama224 facilities · 4 graded A

Arkansas221 facilities · 6 graded A

Arizona140 facilities · 3 graded A

California1,165 facilities · 51 graded A

Colorado210 facilities · 7 graded A

Connecticut191 facilities · 11 graded A

District of Columbia17 facilities · 0 graded A

Delaware44 facilities · 1 graded A

Florida694 facilities · 29 graded A

Georgia356 facilities · 16 graded A

Guam1 facilities · 0 graded A

Hawaii43 facilities · 1 graded A

Iowa387 facilities · 17 graded A

Idaho80 facilities · 0 graded A

Illinois666 facilities · 41 graded A

Indiana507 facilities · 6 graded A

Kansas296 facilities · 13 graded A

Kentucky267 facilities · 8 graded A

Louisiana265 facilities · 12 graded A

Massachusetts341 facilities · 27 graded A

Maryland221 facilities · 9 graded A

Maine78 facilities · 3 graded A

Michigan422 facilities · 15 graded A

Minnesota338 facilities · 16 graded A

Missouri487 facilities · 17 graded A

Mississippi202 facilities · 12 graded A

Montana61 facilities · 3 graded A

North Carolina419 facilities · 24 graded A

North Dakota72 facilities · 4 graded A

Nebraska180 facilities · 10 graded A

New Hampshire73 facilities · 0 graded A

New Jersey348 facilities · 7 graded A

New Mexico68 facilities · 2 graded A

Nevada66 facilities · 5 graded A

New York593 facilities · 32 graded A

Ohio922 facilities · 18 graded A

Oklahoma283 facilities · 9 graded A

Oregon128 facilities · 4 graded A

Pennsylvania656 facilities · 32 graded A

Puerto Rico9 facilities · 0 graded A

Rhode Island72 facilities · 3 graded A

South Carolina187 facilities · 7 graded A

South Dakota96 facilities · 4 graded A

Tennessee303 facilities · 8 graded A

Texas1,177 facilities · 37 graded A

Utah97 facilities · 5 graded A

Virginia289 facilities · 10 graded A

Vermont33 facilities · 0 graded A

Washington193 facilities · 10 graded A

Wisconsin323 facilities · 21 graded A

West Virginia123 facilities · 4 graded A

Wyoming36 facilities · 2 graded A

How the grade works

Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked within the facility's state and size band, weighted, and summed; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of the data are shown as "Not graded" — never an F by absence. Every facility page prints the raw inputs, the percentiles and the peer group.